PECULIARITIES OF X-RAY SEMIOTICS IN PNEUMONIA IN CHILDREN OF EARLY AGE
DOI:
https://doi.org/10.11603/24116-4944.2017.2.7645Keywords:
pneumonia, immaturity, term of gestation, early age, radiography.Abstract
The aim of the study – to learn the features of X-ray semiotics in pneumonia in young children, depending on the gestational age at birth.
Materials and Methods. A clinical-roentgenological examination of 110 young children with pneumonia between 1 month and 3 years was carried out.
Results and Discussion. The features of the radiologic semiotics of pneumonia were studied depending on the gestational age at birth. In children born prematurely with pneumonia, there are radiographic signs characteristic of the continuing immaturity of lung tissue, namely, moderate hypoventilation of the lungs, common small-focal shadows, limited mesh deformation of the pulmonary pattern and a symptom of the "air bronchogram". And at the age of 1 year to 3 years, the above symptomatology is somewhat less pronounced, which is consistent with the available information on the response from the interstitial tissue in the age-related dynamics. Characteristic for prematurity, non-intensive foci against the background of immature lungs, and a relatively poor and slow dynamics of reverse changes confirms the prevalence of the risk of developing chronic pulmonary pathology precisely in the presence of a history of prematurity, as well as a clear relationship of inflammatory changes in the lungs with perinatal pathology, immaturity of the lungs аnd the organism as a whole. Such radiologic symptoms as the strengthening and as the process progresses, some of the children we observed show signs of interstitial fibrosis, cavities appear, a picture of the cellular lung is formed. Such information gives us reason to believe that the presence of such signs in children born prematurely does not exclude the possibility of age predisposition to interstitial lung diseases.
Conclusions. Long-lasting signs of immaturity of pulmonary tissue in children born prematurely, leave an imprint on the process
of further development of respiratory tract diseases in young children and do not exclude the probability of age predisposition to
interstitial lung diseases.
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